WEBVTT

1
00:00:00.928 --> 00:00:03.210
(calm music)

2
00:00:03.210 --> 00:00:06.170
[Instructor] Welcome to your guide to breast augmentation.

3
00:00:06.170 --> 00:00:08.420
Take a few minutes to familiarize yourself

4
00:00:08.420 --> 00:00:10.810
with the procedure and what you can do

5
00:00:10.810 --> 00:00:13.100
to help improve your results.

6
00:00:13.100 --> 00:00:16.170
Remember, this presentation does not take the place

7
00:00:16.170 --> 00:00:17.810 line:15% 
of your consultation,

8
00:00:17.810 --> 00:00:20.790 line:15% 
and you should make sure to jot down any questions

9
00:00:20.790 --> 00:00:23.080 line:15% 
you may want to ask us later.

10
00:00:23.080 --> 00:00:26.780
Breast augmentation or augmentation mammoplasty

11
00:00:26.780 --> 00:00:30.650
is one of the most popular plastic surgery procedures,

12
00:00:30.650 --> 00:00:34.530
chosen by almost 300,000 women a year.

13
00:00:34.530 --> 00:00:38.040
This procedure can improve the contour of your breasts

14
00:00:38.040 --> 00:00:41.610 line:15% 
by increasing their size, enhancing their shape,

15
00:00:41.610 --> 00:00:46.230 line:15% 
correcting proportional imbalances, and improving firmness.

16
00:00:46.230 --> 00:00:49.730 line:15% 
Physically healthy women with realistic expectations

17
00:00:49.730 --> 00:00:52.760 line:15% 
may be able to improve their body proportions,

18
00:00:52.760 --> 00:00:54.530 line:15% 
and achieve a greater sense

19
00:00:54.530 --> 00:00:57.530 line:15% 
of self-confidence and femininity.

20
00:00:57.530 --> 00:00:59.030
Procedure.

21
00:00:59.030 --> 00:01:00.940
There are a number of different options

22
00:01:00.940 --> 00:01:04.550
to help tailor your procedure to your specific needs,

23
00:01:04.550 --> 00:01:07.630
like the size and style of the implant.

24
00:01:07.630 --> 00:01:09.890
Your goals and physical proportions

25
00:01:09.890 --> 00:01:12.340
such as the width of your chest wall,

26
00:01:12.340 --> 00:01:15.020
anatomy of your chest muscles and ribs,

27
00:01:15.020 --> 00:01:17.570
amount of existing breast tissue,

28
00:01:17.570 --> 00:01:21.890
and subcutaneous fat will affect the size, shape,

29
00:01:21.890 --> 00:01:25.160
and type of implant that's best for you.

30
00:01:25.160 --> 00:01:27.900
Other issues to discuss may include your plans

31
00:01:27.900 --> 00:01:31.400
for future pregnancy, breastfeeding, mammograms,

32
00:01:31.400 --> 00:01:34.390
and your family history of breast cancer.

33
00:01:34.390 --> 00:01:38.240 line:15% 
If your breasts are saggy, a breast lift may be recommended

34
00:01:38.240 --> 00:01:40.760 line:15% 
in conjunction with augmentation.

35
00:01:40.760 --> 00:01:43.730 line:15% 
You may have a choice between saline-filled implants

36
00:01:43.730 --> 00:01:46.500 line:15% 
and silicone gel-filled implants.

37
00:01:46.500 --> 00:01:49.560 line:15% 
Both implant types have positive features

38
00:01:49.560 --> 00:01:51.540 line:15% 
and possible drawbacks.

39
00:01:51.540 --> 00:01:55.090 line:15% 
For example, saline implants usually require

40
00:01:55.090 --> 00:01:57.840 line:15% 
a smaller incision, but may feel firmer

41
00:01:57.840 --> 00:01:59.870 line:15% 
than some women would like.

42
00:01:59.870 --> 00:02:04.100 line:15% 
Leakage of silicone from the gel implants can be a concern,

43
00:02:04.100 --> 00:02:06.680 line:15% 
but silicone implants are considered by most

44
00:02:06.680 --> 00:02:09.530 line:15% 
to have a more natural look and feel.

45
00:02:09.530 --> 00:02:12.250 line:15% 
We will help you decide which type of implant

46
00:02:12.250 --> 00:02:14.500 line:15% 
is the right choice for you.

47
00:02:14.500 --> 00:02:18.180
Both types of implants are available in many sizes,

48
00:02:18.180 --> 00:02:21.490
but did you know they come in different shapes as well?

49
00:02:21.490 --> 00:02:24.620
Implants can either be round or anatomical,

50
00:02:24.620 --> 00:02:26.860
often called teardrop shape.

51
00:02:26.860 --> 00:02:29.990
And may be smooth or textured on the surface.

52
00:02:29.990 --> 00:02:32.950
All breast implants that are approved by the FDA

53
00:02:32.950 --> 00:02:35.560
are made of materials that have been researched

54
00:02:35.560 --> 00:02:38.623
and are deemed safe for placement in the human body.

55
00:02:39.730 --> 00:02:43.110
How will your breast augmentation be performed?

56
00:02:43.110 --> 00:02:46.433
The incision can be made in several different locations.

57
00:02:47.440 --> 00:02:48.930
Within the breast crease,

58
00:02:48.930 --> 00:02:52.210
which is called an inframammary incision.

59
00:02:52.210 --> 00:02:55.900
Just at or slightly above the crease beneath the breast.

60
00:02:55.900 --> 00:02:59.440
Around the areola known as Periareolar,

61
00:02:59.440 --> 00:03:02.280
where the incision is hidden by the change in texture

62
00:03:02.280 --> 00:03:05.410
and color around the edges of the areola.

63
00:03:05.410 --> 00:03:08.900
Under the arm in the transaxillary position,

64
00:03:08.900 --> 00:03:11.100
which allows the incision to be hidden

65
00:03:11.100 --> 00:03:13.330
in the hollow of the armpit.

66
00:03:13.330 --> 00:03:14.870
And the belly button,

67
00:03:14.870 --> 00:03:18.650
using the trans-umbilical, TUBA approach.

68
00:03:18.650 --> 00:03:21.930
The incision is made within the navel, belly button,

69
00:03:21.930 --> 00:03:24.290
and the empty ceiling implant is placed

70
00:03:24.290 --> 00:03:27.450
in the proper position using an endoscope

71
00:03:27.450 --> 00:03:30.520
before being filled to the proper size.

72
00:03:30.520 --> 00:03:32.580
The implant will be placed either below

73
00:03:32.580 --> 00:03:35.940 line:15% 
your pectoralis muscle called sub-muscular

74
00:03:35.940 --> 00:03:39.020 line:15% 
or above it, sub-glandular placement,

75
00:03:39.020 --> 00:03:42.230 line:15% 
depending on your unique anatomy.

76
00:03:42.230 --> 00:03:45.070 line:15% 
In both cases, the implant will be below

77
00:03:45.070 --> 00:03:47.500 line:15% 
your existing breast tissue.

78
00:03:47.500 --> 00:03:50.270 line:15% 
We will discuss the options and together decide

79
00:03:50.270 --> 00:03:51.770 line:15% 
what is right for you.

80
00:03:51.770 --> 00:03:55.000 line:15% 
(calm music)

81
00:03:55.000 --> 00:03:56.470
Preparation.

82
00:03:56.470 --> 00:03:58.640
Every woman has a unique perspective

83
00:03:58.640 --> 00:04:02.630
on what may be the best shape and size for her breast.

84
00:04:02.630 --> 00:04:04.520
And your goals will affect the way

85
00:04:04.520 --> 00:04:07.230
your breast augmentation is performed.

86
00:04:07.230 --> 00:04:11.430 line:15% 
It is important to discuss your desires and listen closely,

87
00:04:11.430 --> 00:04:14.830 line:15% 
so that you can set realistic expectations.

88
00:04:14.830 --> 00:04:17.250 line:15% 
A great result can only be achieved

89
00:04:17.250 --> 00:04:20.320 line:15% 
when there is good communication between us.

90
00:04:20.320 --> 00:04:23.180 line:15% 
You also need to understand that the shape you have

91
00:04:23.180 --> 00:04:26.200 line:15% 
before surgery will partially determine the shape

92
00:04:26.200 --> 00:04:28.230 line:15% 
you have after surgery.

93
00:04:28.230 --> 00:04:31.710
Together, we will select the technique, implant,

94
00:04:31.710 --> 00:04:35.340
and size that will provide the best result for you.

95
00:04:35.340 --> 00:04:37.330
When you meet with our patient coordinator,

96
00:04:37.330 --> 00:04:40.070
we will discuss fees and costs.

97
00:04:40.070 --> 00:04:43.620 line:15% 
Some suggestions to help you prepare for surgery.

98
00:04:43.620 --> 00:04:45.580 line:15% 
Your safety matters to us.

99
00:04:45.580 --> 00:04:47.110 line:15% 
You should be very open.

100
00:04:47.110 --> 00:04:50.540 line:15% 
Provide all your medical history, drug allergies,

101
00:04:50.540 --> 00:04:53.550 line:15% 
list any previous surgeries or biopsies,

102
00:04:53.550 --> 00:04:57.710 line:15% 
medications, diet pills, vitamins, and herbs you're taking,

103
00:04:57.710 --> 00:05:00.290 line:15% 
even if you don't think they're important.

104
00:05:00.290 --> 00:05:02.740 line:15% 
Also, don't be afraid to be frank with us

105
00:05:02.740 --> 00:05:04.160 line:15% 
about your lifestyle.

106
00:05:04.160 --> 00:05:07.800 line:15% 
Smoking, the strenuousness of the work you perform,

107
00:05:07.800 --> 00:05:09.400 line:15% 
your exercise habits,

108
00:05:09.400 --> 00:05:12.770 line:15% 
and the importance of getting back to work.

109
00:05:12.770 --> 00:05:15.910 line:15% 
Here are some tips that may help you reduce scarring,

110
00:05:15.910 --> 00:05:17.640 line:15% 
shorten your recovery time,

111
00:05:17.640 --> 00:05:20.990 line:15% 
and decrease your chances of complications.

112
00:05:20.990 --> 00:05:25.080
Discontinue using aspirin, ibuprofen, naproxen,

113
00:05:25.080 --> 00:05:27.200
St. John's wort, and vitamin E

114
00:05:27.200 --> 00:05:29.010
for one to two weeks before

115
00:05:29.010 --> 00:05:31.690
and a few days after your procedure.

116
00:05:31.690 --> 00:05:34.670
These act as blood thinners and could cause problems

117
00:05:34.670 --> 00:05:36.330
with blood clotting.

118
00:05:36.330 --> 00:05:39.070
Stop smoking and drinking alcohol in excess

119
00:05:39.070 --> 00:05:41.860
while in advance of your breast augmentation,

120
00:05:41.860 --> 00:05:44.330
and for one week after surgery.

121
00:05:44.330 --> 00:05:46.080
Drink lots of water in the days

122
00:05:46.080 --> 00:05:48.420
leading up to your breast augmentation.

123
00:05:48.420 --> 00:05:51.570
Hydration will help you recover more quickly.

124
00:05:51.570 --> 00:05:54.710
To make your recovery easier and more comfortable,

125
00:05:54.710 --> 00:05:58.100
Be sure to arrange for someone to take you home,

126
00:05:58.100 --> 00:06:01.940
and take care of you for at least the first day or two,

127
00:06:01.940 --> 00:06:04.840
Fill your prescriptions before your surgery date,

128
00:06:04.840 --> 00:06:06.620
and have them within easy reach

129
00:06:06.620 --> 00:06:08.850
of where you will be resting.

130
00:06:08.850 --> 00:06:12.000
Place plenty of pillows or a bed wedge nearby

131
00:06:12.000 --> 00:06:14.880
so that you can keep your back elevated.

132
00:06:14.880 --> 00:06:17.600
Have several loose-fitting button down blouses

133
00:06:17.600 --> 00:06:20.760
ready to wear in your new breast size.

134
00:06:20.760 --> 00:06:22.200
Recovery.

135
00:06:22.200 --> 00:06:25.060
Immediately after surgery, you may have a feeling

136
00:06:25.060 --> 00:06:27.100
of fullness in the breasts.

137
00:06:27.100 --> 00:06:29.100
The greatest period of discomfort

138
00:06:29.100 --> 00:06:32.980
usually lasts no longer than a few days after surgery.

139
00:06:32.980 --> 00:06:35.660 line:15% 
You should also expect some bruising, swelling,

140
00:06:35.660 --> 00:06:38.170 line:15% 
and pain for the first week or two.

141
00:06:38.170 --> 00:06:40.200 line:15% 
There may be stitches that will be removed

142
00:06:40.200 --> 00:06:42.250 line:15% 
after a week or 10 days.

143
00:06:42.250 --> 00:06:44.120 line:15% 
Others will naturally be absorbed

144
00:06:44.120 --> 00:06:46.740 line:15% 
by the body over a period of time.

145
00:06:46.740 --> 00:06:50.430 line:15% 
Swelling may linger for as long as one to two months.

146
00:06:50.430 --> 00:06:52.400 line:15% 
Pain medication will be prescribed

147
00:06:52.400 --> 00:06:54.430 line:15% 
to control any discomfort.

148
00:06:54.430 --> 00:06:57.370 line:15% 
However, if you begin to have severe pain,

149
00:06:57.370 --> 00:07:00.530 line:15% 
shortness of breath, or an unusual heartbeat,

150
00:07:00.530 --> 00:07:02.760 line:15% 
contact us immediately.

151
00:07:02.760 --> 00:07:05.470 line:15% 
Depending upon where your implants are placed,

152
00:07:05.470 --> 00:07:08.300 line:15% 
you may notice that your breasts appear unnatural

153
00:07:08.300 --> 00:07:10.710 line:15% 
for the first few days after surgery.

154
00:07:10.710 --> 00:07:13.330 line:15% 
With much of your breast mound high on your chest

155
00:07:13.330 --> 00:07:14.890 line:15% 
or above your nipples.

156
00:07:14.890 --> 00:07:18.690 line:15% 
This is common due to the tightness of your chest muscles.

157
00:07:18.690 --> 00:07:20.760 line:15% 
It may take several weeks to months

158
00:07:20.760 --> 00:07:23.830 line:15% 
for your tissues to relax and for the implants

159
00:07:23.830 --> 00:07:26.230 line:15% 
to assume their long-term position.

160
00:07:26.230 --> 00:07:29.130 line:15% 
To help in this process, you may be instructed

161
00:07:29.130 --> 00:07:33.980 line:15% 
to do some massaging exercises or wear an elastic band.

162
00:07:33.980 --> 00:07:36.320 line:15% 
Make sure you follow instructions carefully

163
00:07:36.320 --> 00:07:39.130 line:15% 
to assure the best possible result.

164
00:07:39.130 --> 00:07:42.430
The recovery process is different for everyone,

165
00:07:42.430 --> 00:07:44.830
but within a day of your breast augmentation,

166
00:07:44.830 --> 00:07:47.350
you should be up and walking around.

167
00:07:47.350 --> 00:07:49.380
Although we suggest that you should plan

168
00:07:49.380 --> 00:07:52.410
on being out of work and away from your usual activities

169
00:07:52.410 --> 00:07:53.910
for the first week,

170
00:07:53.910 --> 00:07:57.230
you may find that you are ready to return to some activities

171
00:07:57.230 --> 00:07:59.510
after four or five days.

172
00:07:59.510 --> 00:08:01.520
For the next two or three weeks,

173
00:08:01.520 --> 00:08:03.580
your breasts may be very sensitive,

174
00:08:03.580 --> 00:08:05.800
and strenuous physical activities

175
00:08:05.800 --> 00:08:08.640
including sex should be limited.

176
00:08:08.640 --> 00:08:10.940
In the six weeks after surgery,

177
00:08:10.940 --> 00:08:14.520
your body will be making a capsule around your implants.

178
00:08:14.520 --> 00:08:17.300
Upper extremity exercises and activities

179
00:08:17.300 --> 00:08:20.320
can gradually be increased during this period,

180
00:08:20.320 --> 00:08:23.030
but it is important not to overdue

181
00:08:23.030 --> 00:08:25.730
or take part in strenuous activities,

182
00:08:25.730 --> 00:08:28.620
so that the capsules heal well.

183
00:08:28.620 --> 00:08:30.940
While there will be permanent scars,

184
00:08:30.940 --> 00:08:33.810
they will be well hidden when you're wearing clothing,

185
00:08:33.810 --> 00:08:36.480
and even when you're wearing a swimsuit.

186
00:08:36.480 --> 00:08:40.080
The scars are usually small and become difficult to see

187
00:08:40.080 --> 00:08:42.120
as they heal over time.

188
00:08:42.120 --> 00:08:44.270
The appearance of your breast should improve

189
00:08:44.270 --> 00:08:46.590
over a period of several months.

190
00:08:46.590 --> 00:08:48.940
Final results vary from woman to woman

191
00:08:48.940 --> 00:08:50.980
and can be long lasting.

192
00:08:50.980 --> 00:08:54.470
However, implants are not guaranteed to last a lifetime,

193
00:08:54.470 --> 00:08:57.960
and pregnancies and aging can affect longevity.

194
00:08:57.960 --> 00:09:01.260
What are some of the risks of breast augmentation?

195
00:09:01.260 --> 00:09:04.180
This information is not intended to frighten you

196
00:09:04.180 --> 00:09:07.040
but to help you make an informed decision.

197
00:09:07.040 --> 00:09:10.880
No question or concern is silly or insignificant.

198
00:09:10.880 --> 00:09:12.510
We will be happy to discuss

199
00:09:12.510 --> 00:09:15.410
the full range of potential complications,

200
00:09:15.410 --> 00:09:17.560
and answer any question you might have

201
00:09:17.560 --> 00:09:19.490
regarding this procedure.

202
00:09:19.490 --> 00:09:23.030
Though breast augmentation is a well-established surgical

203
00:09:23.030 --> 00:09:26.820
procedure, there are risks of complications.

204
00:09:26.820 --> 00:09:30.350
Just as in any operation, bleeding, infection,

205
00:09:30.350 --> 00:09:32.470
and scar formation can occur.

206
00:09:32.470 --> 00:09:35.050
Asymmetry in size and decrease

207
00:09:35.050 --> 00:09:38.090
or loss of nipple sensation are possible.

208
00:09:38.090 --> 00:09:40.150
Capsular contracture formation

209
00:09:40.150 --> 00:09:43.440
which results in firm breasts is a complication.

210
00:09:43.440 --> 00:09:45.230
Though its occurrence is less common

211
00:09:45.230 --> 00:09:47.030
due to newer techniques.

212
00:09:47.030 --> 00:09:48.980
In a small percentage of patients,

213
00:09:48.980 --> 00:09:53.400
additional surgery may be necessary to correct this problem.

214
00:09:53.400 --> 00:09:56.210 line:15% 
All women should start routine mammogram screening

215
00:09:56.210 --> 00:09:58.430 line:15% 
by the age of 40 or earlier

216
00:09:58.430 --> 00:10:01.120 line:15% 
if there is a family history of cancer.

217
00:10:01.120 --> 00:10:03.160 line:15% 
Be sure to let your technician know

218
00:10:03.160 --> 00:10:05.233 line:15% 
that you have breast implants.

219
00:10:06.890 --> 00:10:09.010
As with all medical procedures,

220
00:10:09.010 --> 00:10:12.170
be sure to choose your surgeon wisely.

221
00:10:12.170 --> 00:10:14.660
It is important to choose an experienced surgeon

222
00:10:14.660 --> 00:10:17.600
you can trust and develop a good rapport with

223
00:10:17.600 --> 00:10:21.160
so you can openly discuss your concerns and particular needs

224
00:10:21.160 --> 00:10:24.190
throughout the process of consultation, surgery,

225
00:10:24.190 --> 00:10:25.398
and aftercare.

226
00:10:25.398 --> 00:10:27.815
(calm music)

227
00:10:29.690 --> 00:10:31.510
Should you decide to move forward

228
00:10:31.510 --> 00:10:33.410
with your breast augmentation,

229
00:10:33.410 --> 00:10:35.850
a surgery date will be scheduled.

230
00:10:35.850 --> 00:10:37.870
Prior to surgery, you will be giving

231
00:10:37.870 --> 00:10:42.480
complete printed preparation and recovery instructions.

232
00:10:42.480 --> 00:10:45.140
Remember to keep your follow-up visits,

233
00:10:45.140 --> 00:10:46.850
as we are here to help make this

234
00:10:46.850 --> 00:10:49.570
a wonderful experience for you.

235
00:10:49.570 --> 00:10:53.290
Feel free to review any part of this presentation you like,

236
00:10:53.290 --> 00:10:56.460
and be sure to take a look at our before and after gallery

237
00:10:56.460 --> 00:11:00.415
to get a better idea of the results you may achieve.

238
00:11:00.415 --> 00:11:02.832
(calm music)